TY - JOUR
T1 - Loss of FOCAD, operating via the SKI messenger RNA surveillance pathway, causes a pediatric syndrome with liver cirrhosis
AU - Moreno Traspas, Ricardo
AU - Teoh, Tze Shin
AU - Wong, Pui-Mun
AU - Maier, Michael
AU - Chia, Crystal Y
AU - Lay, Kenneth
AU - Ali, Nur Ain
AU - Larson, Austin
AU - Al Mutairi, Fuad
AU - Al-Sannaa, Nouriya Abbas
AU - Faqeih, Eissa Ali
AU - Alfadhel, Majid
AU - Cheema, Huma Arshad
AU - Dupont, Juliette
AU - Bézieau, Stéphane
AU - Isidor, Bertrand
AU - Low, Dorrain Yanwen
AU - Wang, Yulan
AU - Tan, Grace
AU - Lai, Poh San
AU - Piloquet, Hugues
AU - Joubert, Madeleine
AU - Kayserili, Hulya
AU - Kripps, Kimberly A
AU - Nahas, Shareef A
AU - Wartchow, Eric P
AU - Warren, Mikako
AU - Bhavani, Gandham SriLakshmi
AU - Dasouki, Majed
AU - Sandoval, Renata
AU - Carvalho, Elisa
AU - Ramos, Luiza
AU - Porta, Gilda
AU - Wu, Bin
AU - Lashkari, Harsha Prasada
AU - AlSaleem, Badr
AU - BaAbbad, Raeda M
AU - Abreu Ferrão, Anabela Natália
AU - Karageorgou, Vasiliki
AU - Ordonez-Herrera, Natalia
AU - Khan, Suliman
AU - Bauer, Peter
AU - Cogne, Benjamin
AU - Bertoli-Avella, Aida M
AU - Vincent, Marie
AU - Girisha, Katta Mohan
N1 - KAUST Repository Item: Exported on 2022-12-12
Acknowledgements: We are grateful to the families of affected individuals for their participation and kind cooperation in this study. We are also grateful to all members of the Reversade laboratory for constructive discussions and suggestions. We thank R. Weber (Hannover Medical School, Germany) for providing the FOCAD expression construct used for our transient transfections, as well as A. van Hoof (University of Texas Health Science Center at Houston, Texas, USA) and J. Mendell (University of Texas Southwestern Medical Center, Texas, USA) for their insights on the biology of the SKI complex. M.M. was supported by a Career Development Award (CDF Project NR C210812055) from the A*STAR, Biomedical Research Council (Singapore). K.M.G. was supported by the Clinical Research Center grant (IA/CRC/20/1/600002) from India Alliance (India). The authors also thank the King Fahad Medical City Research Center (Saudi Arabia) for the partial support to E.A.F. (grant no. 019-052). B.R. is a fellow of the Branco Weiss Foundation (Switzerland) and the National Research Foundation (Singapore), and an A*STAR and EMBO Young Investigator. This work was also supported by an inaugural Use-Inspired Basic Research (UIBR) central fund and a Brain-Body Initiative (BBI) grant in Neurometabolism to B.R. from the Agency for Science, Technology and Research (A*STAR) in Singapore.
PY - 2022/7/21
Y1 - 2022/7/21
N2 - Cirrhosis is usually a late-onset and life-threatening disease characterized by fibrotic scarring and inflammation that disrupts liver architecture and function. While it is typically the result of alcoholism or hepatitis viral infection in adults, its etiology in infants is much less understood. In this study, we report 14 children from ten unrelated families presenting with a syndromic form of pediatric liver cirrhosis. By genome/exome sequencing, we found recessive variants in FOCAD segregating with the disease. Zebrafish lacking focad phenocopied the human disease, revealing a signature of altered messenger RNA (mRNA) degradation processes in the liver. Using patient's primary cells and CRISPR-Cas9-mediated inactivation in human hepatic cell lines, we found that FOCAD deficiency compromises the SKI mRNA surveillance pathway by reducing the levels of the RNA helicase SKIC2 and its cofactor SKIC3. FOCAD knockout hepatocytes exhibited lowered albumin expression and signs of persistent injury accompanied by CCL2 overproduction. Our results reveal the importance of FOCAD in maintaining liver homeostasis and disclose a possible therapeutic intervention point via inhibition of the CCL2/CCR2 signaling axis.
AB - Cirrhosis is usually a late-onset and life-threatening disease characterized by fibrotic scarring and inflammation that disrupts liver architecture and function. While it is typically the result of alcoholism or hepatitis viral infection in adults, its etiology in infants is much less understood. In this study, we report 14 children from ten unrelated families presenting with a syndromic form of pediatric liver cirrhosis. By genome/exome sequencing, we found recessive variants in FOCAD segregating with the disease. Zebrafish lacking focad phenocopied the human disease, revealing a signature of altered messenger RNA (mRNA) degradation processes in the liver. Using patient's primary cells and CRISPR-Cas9-mediated inactivation in human hepatic cell lines, we found that FOCAD deficiency compromises the SKI mRNA surveillance pathway by reducing the levels of the RNA helicase SKIC2 and its cofactor SKIC3. FOCAD knockout hepatocytes exhibited lowered albumin expression and signs of persistent injury accompanied by CCL2 overproduction. Our results reveal the importance of FOCAD in maintaining liver homeostasis and disclose a possible therapeutic intervention point via inhibition of the CCL2/CCR2 signaling axis.
UR - http://hdl.handle.net/10754/679809
UR - https://www.nature.com/articles/s41588-022-01120-0
UR - http://www.scopus.com/inward/record.url?scp=85134523573&partnerID=8YFLogxK
U2 - 10.1038/s41588-022-01120-0
DO - 10.1038/s41588-022-01120-0
M3 - Article
C2 - 35864190
SN - 1061-4036
VL - 54
SP - 1214
EP - 1226
JO - Nature Genetics
JF - Nature Genetics
IS - 8
ER -